962 CASE REPORT: ARRHYTHMIC MITRAL VALVE PROLAPSE - STATE OF THE ART AND WHAT'S NEW Article Swipe
Marta Bandini
,
Maria Federica Crociani
,
Pietro Sciara
,
Carlo Di Mario
,
Tania Chechi
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartjsupp/suac121.720
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartjsupp/suac121.720
Background Mitral valve prolapse (MVP) is a well-known pro-arrhythmic condition that involves 2-3% of the general population with an incidence of nonfatal arrhythmic events up to 30% and sudden cardiac death of 2-4% per year. It is assumed that the pro-arrhythmic substrate consists in myocardial fibrosis, secondary to steer-stretch due to the anomalous mobility of the mitral valve apparatus. We still have gaps in the evidences about the arrhythmic risk stratification of MVP and the most appropriate therapy and follow-up. Clinical case We present the case of a 40-years-old man with a known MVP due to Barlow disease, who underwent an at-home resuscitated cardiopulmonary arrest. In hospital, an echocardiogram found left ventricular dilatation with diffuse hypokinesia and severe mitral insufficiency. A coronary angiogram showed an undamaged coronary tree. The 24h ECG monitoring showed very frequent ventricular ectopies and non-sustained ventricular tachycardia. The patient underwent valvular surgery and he is now waiting for cardiac defibrillator (ICD) implantation. Conclusion We discuss the state of the art in risk stratification of “malignant” MVP; the actual and potential future role of the cardiac magnetic resonance, ICD implantation, sympathetic modulation, and early surgical mitral valve repair, in the primary prevention of sudden cardiac death.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/eurheartjsupp/suac121.720
- https://academic.oup.com/eurheartjsupp/article-pdf/24/Supplement_K/suac121.720/47966155/suac121.720.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4311737339
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4311737339Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/eurheartjsupp/suac121.720Digital Object Identifier
- Title
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962 CASE REPORT: ARRHYTHMIC MITRAL VALVE PROLAPSE - STATE OF THE ART AND WHAT'S NEWWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-12-14Full publication date if available
- Authors
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Marta Bandini, Maria Federica Crociani, Pietro Sciara, Carlo Di Mario, Tania ChechiList of authors in order
- Landing page
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https://doi.org/10.1093/eurheartjsupp/suac121.720Publisher landing page
- PDF URL
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https://academic.oup.com/eurheartjsupp/article-pdf/24/Supplement_K/suac121.720/47966155/suac121.720.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/eurheartjsupp/article-pdf/24/Supplement_K/suac121.720/47966155/suac121.720.pdfDirect OA link when available
- Concepts
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Medicine, Cardiology, Internal medicine, Mitral valve prolapse, Ventricular tachycardia, Sudden cardiac death, Sudden death, Amiodarone, Mitral valve, Atrial fibrillationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.showed | 124, 133 |
| abstract_inverted_index.sudden | 29, 197 |
| abstract_inverted_index.arrest. | 105 |
| abstract_inverted_index.assumed | 38 |
| abstract_inverted_index.at-home | 102 |
| abstract_inverted_index.cardiac | 30, 153, 179, 198 |
| abstract_inverted_index.diffuse | 115 |
| abstract_inverted_index.discuss | 159 |
| abstract_inverted_index.general | 16 |
| abstract_inverted_index.patient | 143 |
| abstract_inverted_index.present | 84 |
| abstract_inverted_index.primary | 194 |
| abstract_inverted_index.repair, | 191 |
| abstract_inverted_index.surgery | 146 |
| abstract_inverted_index.therapy | 78 |
| abstract_inverted_index.waiting | 151 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Clinical | 81 |
| abstract_inverted_index.consists | 43 |
| abstract_inverted_index.coronary | 122, 127 |
| abstract_inverted_index.disease, | 98 |
| abstract_inverted_index.ectopies | 137 |
| abstract_inverted_index.frequent | 135 |
| abstract_inverted_index.involves | 12 |
| abstract_inverted_index.magnetic | 180 |
| abstract_inverted_index.mobility | 54 |
| abstract_inverted_index.nonfatal | 22 |
| abstract_inverted_index.prolapse | 4 |
| abstract_inverted_index.surgical | 188 |
| abstract_inverted_index.valvular | 145 |
| abstract_inverted_index.angiogram | 123 |
| abstract_inverted_index.anomalous | 53 |
| abstract_inverted_index.condition | 10 |
| abstract_inverted_index.evidences | 66 |
| abstract_inverted_index.fibrosis, | 46 |
| abstract_inverted_index.hospital, | 107 |
| abstract_inverted_index.incidence | 20 |
| abstract_inverted_index.potential | 174 |
| abstract_inverted_index.secondary | 47 |
| abstract_inverted_index.substrate | 42 |
| abstract_inverted_index.undamaged | 126 |
| abstract_inverted_index.underwent | 100, 144 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Conclusion | 157 |
| abstract_inverted_index.apparatus. | 59 |
| abstract_inverted_index.arrhythmic | 23, 69 |
| abstract_inverted_index.dilatation | 113 |
| abstract_inverted_index.follow-up. | 80 |
| abstract_inverted_index.monitoring | 132 |
| abstract_inverted_index.myocardial | 45 |
| abstract_inverted_index.population | 17 |
| abstract_inverted_index.prevention | 195 |
| abstract_inverted_index.resonance, | 181 |
| abstract_inverted_index.well-known | 8 |
| abstract_inverted_index.appropriate | 77 |
| abstract_inverted_index.hypokinesia | 116 |
| abstract_inverted_index.modulation, | 185 |
| abstract_inverted_index.sympathetic | 184 |
| abstract_inverted_index.ventricular | 112, 136, 140 |
| abstract_inverted_index.40-years-old | 89 |
| abstract_inverted_index.resuscitated | 103 |
| abstract_inverted_index.tachycardia. | 141 |
| abstract_inverted_index.defibrillator | 154 |
| abstract_inverted_index.implantation, | 183 |
| abstract_inverted_index.implantation. | 156 |
| abstract_inverted_index.non-sustained | 139 |
| abstract_inverted_index.steer-stretch | 49 |
| abstract_inverted_index.echocardiogram | 109 |
| abstract_inverted_index.insufficiency. | 120 |
| abstract_inverted_index.pro-arrhythmic | 9, 41 |
| abstract_inverted_index.stratification | 71, 167 |
| abstract_inverted_index.cardiopulmonary | 104 |
| abstract_inverted_index.“malignant” | 169 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8299999833106995 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.30250024 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |